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Short Term Acute Care HospitalProprietary

The Orthopedic Hospital

Community Health Systems · Fort Wayne, IN

7952 West Jefferson Boulevard, Fort Wayne, IN 46804(260) 435-2999

Not rated by CMS

CMS star rating

37

Beds

1,521

Inpatient discharges a year

$225.4M

Net patient revenue a year

35

In-network payers

About this hospital

The Orthopedic Hospital is a 37-bed proprietary hospital in Fort Wayne, IN, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 185 disclosed rate categories.

  • ACO participant
  • Helipad
CCN
150168
NPI
1174706576
Website
theorthohospital.com
Health system
Community Health Systems
Teaching
No Medicare-funded residents
County
Allen County
Metro area
Fort Wayne, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
2008
Last CMS survey
2008

Prices for common services

The 24 services The Orthopedic Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$42,329 - $50,223

from 2 insurers · median $46,276

Blue Cross$50,223
Insurer A*$42,329
Medicare $22,020Nearby hospitals $35,44531% above nearby hospitals

80 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$21,635 - $27,137

from 2 insurers · median $24,386

Blue Cross$27,137
Insurer A*$21,635
Medicare $10,459Nearby hospitals $21,19415% above nearby hospitals

35 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$991 - $8,907

from 3 insurers · median $7,660

Blue Cross$991
Insurer A*$7,660
Insurer B*$8,907
Medicare $2,989Nearby hospitals $4,54669% above nearby hospitals

183 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$11,141 - $13,263

from 2 insurers · median $12,202

Aetna$13,263
Insurer A*$11,141
Medicare $6,629Nearby hospitals $9,56128% above nearby hospitals

230 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)

How the insurers pay at The Orthopedic Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*11
582%
110
Insurer B*15
542%
141
Insurer C*22
165%
812

How we chose these services: 6 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for The Orthopedic Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    Not rated by CMS

    • No Medicare readmissions penalty
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 22 services
    • 188 affiliated clinicians
    See doctors and services

  • Finances

    $225.4M net patient revenue

    • Operating margin on patient care 24.3%
    • $1.2M unreimbursed and uncompensated care
    • $55.5M net income
    See finances

  • Ownership and leadership

    Owned by CHS Community Health Systems Inc

    • Private (for profit)
    • Kevin J Hammons, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for The Orthopedic Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
26-1483076Lutheran Musculoskeletal Center LLC56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1174706576 Lutheran Musculoskeletal Center LLC

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

7952 West Jefferson Boulevard, Fort Wayne, IN 46804

(260) 435-2999

Get directions

Frequently asked questions

About The Orthopedic Hospital's rates and hospital price transparency.

How much does an MRI cost at The Orthopedic Hospital?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at The Orthopedic Hospital range from $404 to $1,640 across 2 insurers. Blue Cross Blue Shield's rate is $404. The median at nearby comparable hospitals is $637. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at The Orthopedic Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at The Orthopedic Hospital range from $1,558 to $1,558 across 1 insurers. Blue Cross Blue Shield's rate is $1,558. The median at nearby comparable hospitals is $510. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at The Orthopedic Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at The Orthopedic Hospital range from $426 to $6,630 across 2 insurers. UnitedHealthcare's rate is $6,630. The median at nearby comparable hospitals is $1,958. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at The Orthopedic Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at The Orthopedic Hospital range from $21,635 to $27,137 across 2 insurers. Blue Cross Blue Shield's rate is $27,137. The median at nearby comparable hospitals is $21,194. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is The Orthopedic Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at The Orthopedic Hospital for fiscal year 2027.

Does Medicare penalize The Orthopedic Hospital for readmissions?

No. The Orthopedic Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at The Orthopedic Hospital?

In 2024, the most common were spinal fusion except cervical without mcc (59 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (27 discharges), hip and femur procedures except major joint with cc (26 discharges).

What is The Orthopedic Hospital's case mix index?

The Orthopedic Hospital's Medicare case mix index is 3.10 for fiscal year 2027, higher than 97% of hospitals paid under the inpatient prospective payment system.

How many patients does The Orthopedic Hospital admit?

The Orthopedic Hospital reported 1,521 inpatient discharges and 3,678 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does The Orthopedic Hospital have?

The Orthopedic Hospital reported 338 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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